Health plan reporting for Medicare secondary payer program begins Jan. 1, 2009

Starting Jan. 1, 2009, group health plans must provide the Centers for Medicare and Medicaid Services (CMS) with information about plan participants who also have Medicare coverage. The new reports will help CMS enforce Medicare secondary payer rules, which require employer group health plans to pay most claims from active employees and family members with Medicare coverage before the government program does. Reporting duties lie mainly with insurers and third-party administrators, but employers will feel the effects and may need to collect more information from health plan participants.  (Select News, 8 Sep 2008)

• CMS website with MSP reporting guidance

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